CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Fairview Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $202
  • Cash Discount Price: $282
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Fairview Hospital is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.11x the Medicare baseline. Located in 29 Lewis Avenue, Great Barrington, MA.
Cash / Self-Pay
$282

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $282 (156%)
Insurance Median: $202 (111%)
Cash: $282 (156% of Medicare)
Ins. Median: $202 (111% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Other Government $111 - $171 61%
Fallon $116 - $180 64%
Commcare Alliance $151 - $202 83%
Blue Cross Blue Shield $152 - $252 84%
Medicare (plans) $152 - $168 84%
Hospice $154 - $171 85%
Health New England $156 - $287 86%
Point32Health $167 - $282 92%
UnitedHealthcare $171 - $255 94%
Comm Fallon Qhp $183 - $206 101%
Workers Comp $189 104%
Aetna $192 - $224 106%
Allways Nhp $192 106%
Unicare $192 - $251 106%
Comm Hne Hmo $204 - $270 112%
Comm Hne Ppo $217 - $287 120%
Capital District Physicians' Health Plan $267 147%
Cigna $267 - $276 147%
Mvp $267 147%
Oxford $267 147%
First Health $276 - $282 152%
Connecticare $282 156%
Consolidated Health Plans $282 156%
Other Commercial $282 156%
Phcs $282 156%
Self Pay $282 156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29 Lewis Avenue, Great Barrington, MA 01230
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals